Intraspinal Lumbar Synovial Cysts II – Surgical Treatment of 13 Patients

Czech version

Authors: P. Vaněk; M. Häckel
Authors‘ workplace: Neurochirurgická klinika 1. LF UK a IPVZ, ÚVN Praha
Published in: Cesk Slov Neurol N 2009; 72/105(1): 61-64
Category: Short Communication

Overview

The second part of the paper concerning the issues of intraspinal lumbosacral synovial cysts (ILSC) presents our own experience with surgical therapy of this pathology based on a prospective study with one year follow up. The study involved 13 patients based on their informed consent. The primary surgical therapy always consisted in simple resection of the cyst using microsurgery; one patient underwent an intrabody arthrodesis procedure. Standardized questionnaires were used to assess the clinical results of the surgery one year post op. Attention was also given to pre and post operative imaging. Our findings are shortly discussed in the article.

Key words:
degenerative disease of lumbar spine – synovial articular cysts – microsurgery – decompression

Sources

1. Apostolaki E, Davies AM, Evans N, Cassar-Pullicino VN. MR imaging of lumbar facet joint synovial cysts. Eur Radiol 2000; 10(4): 615–623.

2. Howington JU, Connolly ES, Voorhies RM. Intraspinal synovial cyst: 10-year experience at the Ochsner Clinic. J Neurosurg 1999; 91 (suppl 2): 193–199.

3. Lyons MK, Atkinson JL, Wharen RE, Dean HD, Zimmerman RS, Lemens SM. Surgical evaluation and management of lumbar synovial cysts. J Neurosurg 2000; 93 (Suppl 1): 53–57.

4. Sova M, Smrčka M, Hušek K. Synoviální cysty bederní páteře – vzácná příčina lumboischialgií. Cesk Slov Neurol N 2000; 63/96: 297–299.

5. Abdullah AF, Chambers TW, Daut DP. Lumbar nerve root compression by synovial cyst of the ligamentum flavum. Report of four cases. J Neurosurg 1984; 60(3): 617–620.

6. Iguchi T, Kanemura A, Kasahara K, Sato K, Kurihara A,Yoshiya S et al. Lumbar instability and clinical symptoms: which is the more critical factor for symptoms: sagittal translation or segment angulation? J Spinal Disord Tech 2004; 17(4): 284–290.

7. Carlsson AM. Assessment of chronic pain. I. Aspects of the reliability and validity of the visual analogue scale. Pain 1983; 16(1): 87–101.

8. Fairbank JC, Pynsent PB. The Oswestry Disability Index. Spine 2000; 25(22): 2940–2952.

9. Freidberg SR, Fellows T, Thomas CB, Mancall AC. Experience with symptomatic spinal epidural cyst. Neurosurgery 1994; 34(6): 989–993.

10. Weishaupt D, Zanetti M, Boos N, Hodler J. MR imaging and CT in osteoarthritis of the lumbar facet joints. Skeletal Radiol 1999; 28(4): 215–219.

11. Doyle AJ, Merrilees M. Synovial cysts of the lumbar facet joints in symptomatic population: Prevalence on magnetic resonance imaging. Spine 2004; 29(8): 874–878.

12. Epstein NE. Lumbar laminectomy for the resection of synovial cysts and coexisting lumbar spinal stenosis or degenerative spondylolisthesis: an outcome study. Spine 2004; 29(9): 1049–1056.

13. Pendleton B, Carl B, Pollay M. Spinal extradural benign synovial or ganglion cyst: case report and review of the literature. Neurosurgery 1983; 13(3): 322–326.

14. Sabo RA, Tracy PT, Weinger JM. A series of 60 juxtafacet cysts: clinical presentation, the role of spinal instability, and treatment. J Neurosurg 1996; 85(4): 560–565.

15. Métellus P, Fuentes S, Adetchessi T, Levrier O, Flores-Parra I, Talianu D et al. Retrospective study of 77 patients harbouring lumbar synovial cysts: functional and neurological outcome. Acta Neurochir (Wien) 2006; 148(1): 47–54.

16. Khan AM, Synnot K, Cammissa FP, Girardi FP. Lumbar synovial cysts of the spine: and evaluation of surgical outcome. J Spinal Disord Tech 2005; 18(2): 127–131.